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General NPI Number Information
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NPI Number | 1912617010
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Entity Type | Organization
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Legal Business Name | ASHLEY VU OD PC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1200 S HOVER ST
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City | LONGMONT
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State | CO
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Zip | 80501-7902
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Country | US
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Telephone | 970-439-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 717 E 1ST AVE
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City | DENVER
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State | CO
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Zip | 80203-4206
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Country | US
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Telephone | 626-864-1811
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | ASHLEY VU
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Credential | OD
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Telephone | 626-864-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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